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Progress Notes Week 1

The progress notes for client M.B. detail the first therapy session on January 7, 2025, focusing on enhancing confidence, developing healthy relationship boundaries, and managing loneliness and social anxiety. M.B. expresses feelings of self-doubt, loneliness, and confusion regarding her romantic life, particularly a situationship causing emotional distress. The therapist assigned homework to prioritize therapy goals and maintain a journal, with plans to explore one goal in-depth during the next session.

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gurman chawla
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4 views

Progress Notes Week 1

The progress notes for client M.B. detail the first therapy session on January 7, 2025, focusing on enhancing confidence, developing healthy relationship boundaries, and managing loneliness and social anxiety. M.B. expresses feelings of self-doubt, loneliness, and confusion regarding her romantic life, particularly a situationship causing emotional distress. The therapist assigned homework to prioritize therapy goals and maintain a journal, with plans to explore one goal in-depth during the next session.

Uploaded by

gurman chawla
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Progress Notes Week 1: 13th January

Client M.B

Session No: 1

Date: 07/01/2025

Time of Session: 12 pm

Dx/Provisional Dx: N/A

Treatment Goal(s) & Goal 1: Enhancing Confidence & Self-Esteem


Objectives:
Obj1: Challenge negative self-talk regarding physical appearance and confidence
Obj2: Develop self-trust and self-control regarding health and eating habits
Goal 2: Developing Healthy Relationship Boundaries
Obj1: Recognize patterns of emotional investment and distress cycles
Obj2: Understanding our needs and functions in a romantic relationship
Goal 3: Managing Loneliness & Social Anxiety
Obj1: Shift from self-criticism to self-acceptance regarding introversion
Obj2: Increase social interactions in a way that aligns with her personality and
comfort
Session Note Subjective “I keep overthinking everything, and it makes me doubt myself a lot. I feel
Information by really self-conscious and end up avoiding social situations. I know I’m an
Client: introvert, but sometimes I feel like I’m missing out on things because of it,
Information and that really upsets me. I struggle to prioritize myself, and it leaves me
relevant to what feeling lonely and unsure about my relationships. The biggest thing on my
the client reveals mind right now is my romantic life, especially this situationship—it's been
in the session really confusing and emotionally draining for me."
Objective M.B. presents with persistent negative thoughts that contribute to feelings of
Findings by low confidence, self-consciousness, and social withdrawal. She identifies as
Therapist: an introvert and experiences distress over perceived missed experiences due to
her introversion. She has difficulty prioritizing herself, leading to feelings of
loneliness, self-doubt, and relational insecurities. Her primary struggle
revolves around romantic relationships, particularly a situationship that has
caused emotional turmoil.

Focus of the Understanding presenting concerns, goal setting, exploring relevant history
Session:
Assessment of Progress Goal(s) 1st session revolved around goal setting
Addressed in
session:

Homework Therapist invited the Client to arrange the goals discussed in sessions in an
assigned: order of priority for her and maintain a journal of thoughts, feelings and
episodes concerning the therapy goals

Plan for Next Based on the Client’s discretion, one of the 3 aforementioned goals will be
Session: taken up and probed more using Socratic questioning

Needs in Assessing when the therapist should intervene more in goal setting versus
Supervision: when should the client be given the complete autonomy to decide them.

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